Enter to Win An Amazon Gift Card!

Thanks for stopping by our booth! Fill out the form below for your chance to win one of our two, $50 Amazon gift card. We appreciate the opportunity to connect with you and look forward to staying in touch!
If you're a winner, you can expect a call from our office after the event.

Yana Ross

(785) 329-5212

Yana.Ross@fbfs.com

Are you currently a Farm Bureau Financial Services client?*

Yes, I am a client/member.

No, I am not yet a client/member.

First Name *

Last Name *

Street Address 1 *

Street Address 2

City *

State *

Zip Code*

Email Address *

Phone Number *

Date of Birth*

What type of business do you own?*

How many employees does your business have?*

Would you like to learn more about Kansas Farm Bureau Health Plans?*

By checking this box, you consent to receive communications from Farm Bureau Financial Services or be contacted by someone from the organization. You may opt out at any time by unsubscribing to our emails. No purchase, quote or appointment necessary to enter. One entry per person. Must be 18 years or older to qualify and reside in AZ, IA, KS, MN, NE, NM, SD or UT. Winner(s) will be selected in a random drawing from among all eligible entries by judges selected by Sponsor(s), whose decisions are final and binding in all matters relating to this Drawing. Only one Winner per household is permitted.